VANESSA ZAMORA
Seaside,CA
Summary
Versatile and solutions-orientated Billing & EMR Implementation Specialist with demonstrated success and over 25 years of healthcare experience. Experienced
EPIC user motivated to support a highly efficient and effective team and/or practice.
Overview
25
25
years of professional experience
Work History
HB Patient Accounts
El Camino Hospital
Mountain View, CA
07.2023 - Current
- Contributed innovative ideas and solutions to enhance team performance and outcomes.
- Collaborated closely with team members to achieve project objectives and meet deadlines.
- AR follow-up and cleanup for Medicaid.
- Review and correct claim edits/rejections.
- Medicaid billing review.
- Billing Subject Matter Expert
- Identify payor trends on denials to minimize the number of denials and maximize reimbursement.
- Utilized advanced technical skills and expertise to troubleshoot complex problems and implement solutions.
- Provided support and guidance to colleagues to maintain a collaborative work environment.
- Obtain prior authorizations for services
Billing Specialist & EHR Implementation Specialist
Cypress Healthcare Partners
Monterey, CA
11.2005 - 07.2023
- Implement new practice management systems for multi-specialties, including providing operational support.
- Proactively provide ongoing practice management maintenance and testing tasks.
- Provides process improvement and workflows.
- Work with analysts to create build processes specific to practice needs, and improve automation capabilities.
- Provide education and training to end users, including new release features, functionality, and revisions that impact operations.
- AR follow-up and cleanup for all payors, including governmental.
- Monthly financials and balancing.
- Professional clinical and hospital charge entry for various specialty providers.
- Submitted claims and worked on clearinghouse/payor rejections for all payors.
- Analyzed trends in denials in order to recommend process improvements that would reduce the number of denials received.
- CPT and ICD-10 coding are compliant.
- ERA/manual payment posting for all payors.
- Assisted in developing strategies for improving collections processes.
- Implemented new policies related to billing processes when required.
- Managed teams and provided yearly reviews.
- Review and approve time sheets and submit payroll
Front Office/ WC Case Coordinator
Doctors on Duty
Monterey, CA
01.2001 - 11.2005
- Managed front office team members
- Clinical operations lead and clinician trainer
- Registration/Data entry
- Verified Real Time Eligiblity for all payors
- Entered, posted, reconciled of daily deposits
- Obtained authorizations/referrals for all payors
Education
Certificate of Completion
Monterey Peninsula College
Monterey, CA Certificate
EPIC Systems Certification
Skills
- Strong communication and customer service skills
- Strong optimization and time management skills
- Advanced troubleshooting and organization skills
- Problem solving skills
- Healthcare operations
- Medical Billing and Coding
- Current EPIC certifications
- System Admin
- EPIC, eMDs, NextGen, Meditech, Cognizant (PPMIS)
- Microsoft (Excel, PowerPoint Word, Outlook)
- Technical
- Revenue cycle
Timeline
HB Patient Accounts
El Camino Hospital
07.2023 - Current
Billing Specialist & EHR Implementation Specialist
Cypress Healthcare Partners
11.2005 - 07.2023
Front Office/ WC Case Coordinator
Doctors on Duty
01.2001 - 11.2005
Certificate of Completion
Monterey Peninsula College
Certificate
EPIC Systems Certification